NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1760842843 | GRIFFIN | DETRA |   |   | 615 EE WALLACE BLVD S | FERRIDAY | LA | 713343224 |
1609220425 | MCKEEL | ZAKEEDRA |   |   | 420 MIMOSA DR | FERRIDAY | LA | 713343831 |
1356797492 | PROSSER | KEISHA |   |   | 615 EE WALLACE BLVD S | FERRIDAY | LA | 713343224 |
1689037277 | WASHINGTON | TONYA | TAURSETTE |   | 14 JAMES BROWN AVE | NATCHEZ | MS | 391208704 |